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0:00:02 > 0:00:07- Ysbyty Gwynedd - serves the largest area in Wales.
0:00:08 > 0:00:12- Some children have to travel - over an hour to get here.
0:00:15 > 0:00:18- Take out the inhaler, - shake it and put it back in.
0:00:19 > 0:00:21- You never know - who will come through the door.
0:00:21 > 0:00:26- I've had a call to see a 7-year-old - with a rash and neck pain.
0:00:26 > 0:00:29- Could be meningitis. We'll see.
0:00:30 > 0:00:34- This makes it a fantastic training - hospital for nurses and doctors.
0:00:35 > 0:00:39- It's important to encourage interest - in medicine amongst young people.
0:00:40 > 0:00:42- They need to be encouraged - to go for it.
0:00:42 > 0:00:46- They will be responsible for giving - treatment here in the future.
0:00:47 > 0:00:49- Do you like that bike? - Let me have a listen.
0:01:05 > 0:01:09- Don't worry. You're not watching - the wrong programme.
0:01:09 > 0:01:12- Tomos Owens, who used to be - a member of Y Bandana...
0:01:13 > 0:01:14- ..is now Dr Tomos Owens.
0:01:15 > 0:01:18- # Tonight in the Anglesey #
0:01:19 > 0:01:21- Here he is, on his way to work...
0:01:21 > 0:01:24- ..on the children's ward - at Ysbyty Gwynedd.
0:01:24 > 0:01:28- Tomos is one of six doctors - training to be GPs in Gwynedd.
0:01:28 > 0:01:30- As part of his training...
0:01:30 > 0:01:33- ..he's spending six months - studying paediatrics.
0:01:35 > 0:01:38- I'd never done paediatrics - before this placement.
0:01:40 > 0:01:44- I did it for about six weeks - at medical school in Manchester.
0:01:45 > 0:01:49- But this is my first job - as a doctor.
0:01:50 > 0:01:52- I was worried at first - but I wanted to make sure...
0:01:53 > 0:01:56- ..I'd had experience - of working on a children's ward.
0:01:56 > 0:02:00- Usually we start at 8.30am - but I'm a little later today...
0:02:00 > 0:02:02- ..because I'm going to the teaching.
0:02:02 > 0:02:05- There's more traffic and parking - is difficult at this time.
0:02:13 > 0:02:17- I remember deciding - I wouldn't mind being a doctor...
0:02:17 > 0:02:20- ..if I did alright in my exams - at school in Year 7, 8 and 9.
0:02:22 > 0:02:25- I was going through an emo phase - at the time.
0:02:25 > 0:02:29- I liked the idea - of being a forensic pathologist.
0:02:29 > 0:02:31- I knew you had to study medicine - to do that.
0:02:32 > 0:02:34- So that's why I decided - to give it a go.
0:02:34 > 0:02:36- Since university - and starting work...
0:02:36 > 0:02:40- ..I've realized I'd rather work - with people who are alive...
0:02:40 > 0:02:43- ..rather than carry out autopsies - on dead people!
0:02:43 > 0:02:46- But that's the weird reason - I chose to do medicine!
0:02:52 > 0:02:56- I remember realizing it was - difficult once I got to university.
0:02:56 > 0:02:59- I went to Ysgol Syr Hugh Owen - and had a great time there.
0:02:59 > 0:03:04- I went to university and everyone - there had A grades in everything.
0:03:04 > 0:03:07- Everyone had done - Grade 8 piano or trumpet.
0:03:07 > 0:03:10- Everyone had been - head boy or head girl.
0:03:11 > 0:03:14- I thought, "OK." I did Grade 8 - trumpet and Grade 5 piano.
0:03:14 > 0:03:17- I happened to be in a new band - called Y Bandana!
0:03:18 > 0:03:21- That was a cool, quirky thing - to put on my application form.
0:03:21 > 0:03:25- I remember getting there and - thinking everyone was so clever.
0:03:26 > 0:03:30- It was a struggle to cope with - the workload in the first two years.
0:03:30 > 0:03:34- It was hard and it was a lot of work - but you have to persevere.
0:03:34 > 0:03:37- The learning continues.
0:03:38 > 0:03:40- Anywhere here, please.
0:03:40 > 0:03:44- What I know is if you're suspecting - glandular fever...
0:03:44 > 0:03:49- ..amoxycillin is not - the best antibiotic to choose.
0:03:49 > 0:03:52- That's why I'm asking.
0:03:54 > 0:03:58- Tomos is with us for six months and - we're nearing the end of that time.
0:03:58 > 0:04:01- He's well used to dealing - with children by now.
0:04:02 > 0:04:05- Around 20% of the population - are children.
0:04:05 > 0:04:08- Between 20% and 25% - depending on where you live.
0:04:08 > 0:04:13- Children are high users - of health services and GPs.
0:04:13 > 0:04:17- So we feel it's important - that every GP...
0:04:17 > 0:04:23- ..spends six months on a children's - ward looking after sick children.
0:04:23 > 0:04:27- But today, Dr Tomos isn't - the only one receiving training.
0:04:28 > 0:04:31- Half the ward staff - are on an emergency care course.
0:04:31 > 0:04:35- This means there aren't enough - doctors on the ward.
0:04:36 > 0:04:40- So I'll do the ward around here - and cover on PAU, yeah?
0:04:40 > 0:04:42- We'll sort out upstairs then, yeah.
0:04:42 > 0:04:43- We'll sort out upstairs then, yeah.- - Fine.
0:04:44 > 0:04:46- There aren't enough doctors today.
0:04:46 > 0:04:49- It's just me covering downstairs - with the registrar.
0:04:50 > 0:04:52- There's one other - junior doctor upstairs.
0:04:52 > 0:04:54- Normally there are at least four.
0:04:55 > 0:04:58- I'm a bit concerned it's going to be - busy but I hope it'll be OK.
0:04:59 > 0:05:00- PHONE RINGS
0:05:02 > 0:05:05- Hello. Paeds SHO.
0:05:07 > 0:05:08- Hiya.
0:05:09 > 0:05:12- I've just had a call - for a seven-year-old boy...
0:05:12 > 0:05:14- ..with a rash and neck pain.
0:05:15 > 0:05:17- Could be meningitis. We'll see.
0:05:17 > 0:05:19- 38.8 temperature.
0:05:19 > 0:05:22- OK. We'll see him on Dewi Ward.
0:05:22 > 0:05:24- Thank you very much. Take care.
0:05:25 > 0:05:30- When a doctor suspects meningitis, - there's no time to lose.
0:05:30 > 0:05:33- Within fifteen minutes, - Stephen has arrived.
0:05:37 > 0:05:40- I'm concerned about the neck pain. - He doesn't want to look up.
0:05:40 > 0:05:43- Sometimes when children - have a sore throat...
0:05:43 > 0:05:47- ..they complain of pain in - the back of their throat and neck.
0:05:47 > 0:05:49- It doesn't look like - a meningitis rash.
0:05:49 > 0:05:52- It looks more like an allergy rash.
0:05:53 > 0:05:55- But he has no history of allergies.
0:05:55 > 0:05:58- Often, when children - present with an allergy...
0:05:58 > 0:06:00- ..they have a history - of other allergies.
0:06:00 > 0:06:05- It looks like an allergy rash so I'm - going to prescribe an antihistamine.
0:06:05 > 0:06:08- Something like Piriton - that you can buy over the counter.
0:06:09 > 0:06:11- We'll see if that settles the rash.
0:06:11 > 0:06:14- He also seems quite well. - He was jumping around.
0:06:14 > 0:06:18- If he was more drowsy, - I might have taken some bloods.
0:06:18 > 0:06:21- For now, I'm just going to - keep an eye on him.
0:06:21 > 0:06:24- We'll give him the antihistamine - and see how he goes.
0:06:24 > 0:06:28- One of the seniors will look at him - once we've monitored him.
0:06:29 > 0:06:32- This is all part - of Dr Tomos' training.
0:06:32 > 0:06:36- But in reality, for the doctors - and nurses of Ysbyty Gwynedd...
0:06:37 > 0:06:39- ..the training never ends.
0:06:43 > 0:06:45- This is Jake.
0:06:45 > 0:06:48- Jake has been close to death - several times...
0:06:48 > 0:06:54- ..so that staff know what to do when - real babies are rushed to hospital.
0:07:01 > 0:07:04- The nurses haven't wasted a second.
0:07:04 > 0:07:06- They've called for a doctor...
0:07:07 > 0:07:10- ..and Jake's condition - deteriorates quickly.
0:07:10 > 0:07:11- What's the temperature?
0:07:11 > 0:07:12- What's the temperature?- - 36.9.
0:07:12 > 0:07:14- This is an eight-month-old baby...
0:07:14 > 0:07:17- ..who's not been very well - for the last week or so.
0:07:17 > 0:07:20- A bit irritable, not feeding, - has been vomiting.
0:07:20 > 0:07:24- Been to the GP who has sent the baby - in an ambulance to us.
0:07:25 > 0:07:26- OK.
0:07:26 > 0:07:28- OK.- - Mum is on her way.
0:07:28 > 0:07:33- We hold sessions like this so that - teams can practise what they do...
0:07:33 > 0:07:35- ..with sick children or adults.
0:07:36 > 0:07:40- It doesn't happen that often. - This isn't Holby City!
0:07:41 > 0:07:44- It's good for teams to come here...
0:07:44 > 0:07:49- ..to practise the most challenging - scenarios that could come up.
0:07:52 > 0:07:56- Is he making excessive sound from - the airways or is it a clear cry?
0:07:56 > 0:07:57- Just a clear cry.
0:07:57 > 0:08:01- A referral comes through - telling us exactly what's wrong...
0:08:02 > 0:08:03- ..with the child or baby.
0:08:03 > 0:08:06- We then have to act - exactly as we would on the ward.
0:08:07 > 0:08:10- The temperature was 36, wasn't it?
0:08:10 > 0:08:11- The temperature was 36, wasn't it?- - Yeah.
0:08:11 > 0:08:14- OK. I'm not comfortable - with that heart rate.
0:08:14 > 0:08:18- Would you mind getting the register - to see who's on call?
0:08:18 > 0:08:20- I can see the SATS are coming up.
0:08:22 > 0:08:26- Back in the real world, - Sophie has arrived.
0:08:26 > 0:08:30- She fainted when her mother was - trying to put an earring in her ear.
0:08:31 > 0:08:34- I've just seen Sophie, - a six-year-old...
0:08:34 > 0:08:37- ..referred here - from the emergency department.
0:08:37 > 0:08:40- She said she felt hot - and she collapsed.
0:08:40 > 0:08:43- They tried to rouse her - but she wouldn't wake.
0:08:43 > 0:08:48- She woke up quite quickly when her - mother gave her a few gentle slaps.
0:08:48 > 0:08:51- We'd be more worried - if she was groggy or confused.
0:08:51 > 0:08:55- I discovered what I thought - sounded like a heart murmur...
0:08:55 > 0:08:56- ..when I examined her.
0:08:57 > 0:09:00- It's an additional sound - when you listen to the heart.
0:09:00 > 0:09:04- Usually you just hear the heart - but there was an additional sound.
0:09:04 > 0:09:08- Some children have them - - they're called innocent murmurs...
0:09:08 > 0:09:09- BLEEP
0:09:09 > 0:09:11- BLEEP- - ..and cause no problems.
0:09:11 > 0:09:14- But murmurs can cause some - to collapse and so on.
0:09:15 > 0:09:21- I've done an ECG just to investigate - further. It looks OK.
0:09:21 > 0:09:24- It might just be - a coincidental finding.
0:09:25 > 0:09:27- That's where we are at the moment.
0:09:28 > 0:09:31- In the training room, Jake's heart - rate has gone through the roof.
0:09:33 > 0:09:37- The medical term for this - is supraventricular tachycardia.
0:09:37 > 0:09:40- One way of slowing down the heart...
0:09:40 > 0:09:44- ..is to put the baby's face - in ice cold water for 10 seconds.
0:09:47 > 0:09:51- Three, four, five, six...
0:09:51 > 0:09:54- ..seven, eight, nine, ten.
0:09:56 > 0:10:00- In this little drama, - the technique has worked.
0:10:00 > 0:10:04- Jake's heart rate has slowed down.
0:10:10 > 0:10:12- Do you forget they're mannequins?
0:10:12 > 0:10:14- Do you forget they're mannequins?- - After a while, yes.
0:10:14 > 0:10:18- You get so absorbed. - It's a really good way of learning.
0:10:18 > 0:10:23- Jake has survived - another training session.
0:10:23 > 0:10:25- Until next time. Thank you, Jake.
0:10:28 > 0:10:31- But now there's a real baby - to see to.
0:10:31 > 0:10:33- Jack is about a month old.
0:10:33 > 0:10:35- He came in over the weekend.
0:10:35 > 0:10:38- He's just not feeding - and isn't himself.
0:10:38 > 0:10:41- He usually feeds well.
0:10:41 > 0:10:45- Blood tests have come back normal - but he's had antibiotics.
0:10:45 > 0:10:46- Things are OK.
0:10:47 > 0:10:49- He's also been given ranitidine - for reflux.
0:10:50 > 0:10:52- He does seem to have improved - with that.
0:10:52 > 0:10:55- But we'll just keep an eye on him - for a while longer.
0:10:55 > 0:11:00- I've just heard that the other - patient referred by the GP is here.
0:11:02 > 0:11:04- Hiya, Liam. Are you OK? - Who's this with you?
0:11:05 > 0:11:06- Nain.
0:11:06 > 0:11:07- Nain.- - Nain. Hello, Nain.
0:11:08 > 0:11:10- I'm Tomos, - one of the paediatric doctors.
0:11:10 > 0:11:11- .
0:11:14 > 0:11:14- Subtitles
0:11:14 > 0:11:16- Subtitles- - Subtitles
0:11:20 > 0:11:25- This young man is Liam. His stomach - has been hurting for three days.
0:11:26 > 0:11:30- Your GP phoned me earlier and told - me a little about what's going on.
0:11:30 > 0:11:32- I know he also spoke to - the surgical team...
0:11:33 > 0:11:35- ..because you've had a stomach ache.
0:11:35 > 0:11:36- Is that right?
0:11:37 > 0:11:38- It's pain here.
0:11:38 > 0:11:43- I've had stomach ache as well - but mostly it's just normal pain.
0:11:43 > 0:11:45- Where exactly is the pain?
0:11:45 > 0:11:47- There.
0:11:47 > 0:11:49- On the right hand side. OK.
0:11:49 > 0:11:51- How long does the pain last?
0:11:51 > 0:11:53- It doesn't stop.
0:11:53 > 0:11:55- OK. So it's there all the time.
0:11:55 > 0:11:56- When did it start?
0:11:56 > 0:11:57- When did it start?- - Sunday night.
0:11:58 > 0:11:59- Sunday night. OK.
0:11:59 > 0:12:03- There are a few of us here - doing the GP training at the moment.
0:12:03 > 0:12:05- There's a good group - of Welsh speakers.
0:12:05 > 0:12:08- There's a big demand - for Welsh speakers...
0:12:08 > 0:12:11- ..especially on a children's ward - so paediatrics...
0:12:11 > 0:12:13- ..and in mental health.
0:12:13 > 0:12:17- It's important to encourage interest - in medicine amongst young people.
0:12:18 > 0:12:20- They need to be encouraged - to go for it.
0:12:20 > 0:12:23- There's nothing worse - than not trying...
0:12:23 > 0:12:26- ..because you think - you're not good enough.
0:12:26 > 0:12:28- If I asked to give me a number...
0:12:28 > 0:12:32- ..where 1 is very little pain and - 10 is the worst pain imaginable...
0:12:32 > 0:12:34- ..which number would you say?
0:12:34 > 0:12:36- I'd say six now.
0:12:36 > 0:12:39- I'd say six now.- - Has it been worse than six?
0:12:39 > 0:12:40- Yes.
0:12:40 > 0:12:42- When was it at its worst?
0:12:43 > 0:12:46- On Sunday night and at night - as well.
0:12:46 > 0:12:47- At night? OK.
0:12:47 > 0:12:49- Which number would you say then?
0:12:49 > 0:12:50- Which number would you say then?- - Eight.
0:12:50 > 0:12:52- So it goes as high as eight.
0:12:52 > 0:12:54- It's so nice to be able - to work in Welsh.
0:12:55 > 0:12:57- People appreciate - Welsh-speaking doctors.
0:12:57 > 0:13:00- It's nice to be able to work - in the area where I grew up.
0:13:01 > 0:13:03- I lived in Manchester - for a few years.
0:13:04 > 0:13:07- But I feel there's a demand - for doctors in this area...
0:13:07 > 0:13:10- ..and I want to come back - so why not?
0:13:13 > 0:13:15- OK. OK. Can you lie down for me?
0:13:17 > 0:13:19- We've done an urine test - and that's OK.
0:13:20 > 0:13:22- We'll probably do some blood tests.
0:13:22 > 0:13:26- We'll check infection markers - and make sure your kidneys are OK.
0:13:26 > 0:13:30- Your liver is up here - and your kidneys are there as well.
0:13:30 > 0:13:33- If it's going to the back - it could be in your kidneys.
0:13:33 > 0:13:36- Sometimes a kidney infection - can cause pain.
0:13:36 > 0:13:38- It can sometimes burn - when you urinate.
0:13:38 > 0:13:41- At out of hours, - they mentioned it could be stones.
0:13:42 > 0:13:46- It is a possibility but I'd expect - to see blood in the urine.
0:13:47 > 0:13:48- That is the other thing.
0:13:48 > 0:13:53- It could be a kidney stone - or a kidney infection.
0:13:53 > 0:13:57- I'll do blood tests to check kidney - function, liver function and so on.
0:13:57 > 0:14:01- When we have the results back, I'll - also ask the surgeons to see you.
0:14:01 > 0:14:03- Is that OK? Cool.
0:14:06 > 0:14:10- The registrar has seen him and he - thinks it could be constipation.
0:14:10 > 0:14:14- Although his bowels open every day, - sometimes that isn't enough.
0:14:14 > 0:14:18- From what he's described, - he has quite hard poos.
0:14:18 > 0:14:22- We're going to give him some - laxatives to see if he feels better.
0:14:22 > 0:14:27- We'll go back to him later - to see if they've had an effect.
0:14:27 > 0:14:31- He's going to stay in a little bit - longer just to keep an eye on him.
0:14:31 > 0:14:32- This is Leia.
0:14:32 > 0:14:37- She was sent in by her GP because - she was having trouble breathing.
0:14:39 > 0:14:43- The doctor has decided to try - the blue inhaler.
0:14:43 > 0:14:45- There are two reasons for this.
0:14:45 > 0:14:49- It opens the pipes in her lungs - and works immediately.
0:14:49 > 0:14:52- You need to cover her mouth - and push this in.
0:14:52 > 0:14:55- You need to hear the valve clicking - five times.
0:14:55 > 0:14:58- You take out the inhaler, - shake it and put it back in.
0:14:59 > 0:15:01- Another puff - and another five clicks.
0:15:01 > 0:15:03- She needs ten of those - while she's here.
0:15:04 > 0:15:05- Can Dad give you this?
0:15:06 > 0:15:09- So you need ten of these. OK?
0:15:10 > 0:15:12- One. It needs to cover - the nose and mouth.
0:15:13 > 0:15:15- You need to leave that in.
0:15:15 > 0:15:19- Right, Dad. - Let Nurse Angharad show you again!
0:15:20 > 0:15:22- Slowly. That's it.
0:15:22 > 0:15:24- Just breathe normally.
0:15:24 > 0:15:26- Pull it out, shake it.
0:15:26 > 0:15:27- We're on the second now.
0:15:29 > 0:15:30- OK?
0:15:30 > 0:15:32- We need to count to ten.
0:15:36 > 0:15:39- That was three. Can you count?
0:15:40 > 0:15:42- Well done.
0:15:44 > 0:15:46- Last one.
0:15:46 > 0:15:49- We'll just assess her oxygen levels - and her heart rate.
0:15:49 > 0:15:54- If the oxygen levels fall, the - doctor will come to listen to her.
0:15:54 > 0:15:57- She might need the inhaler sooner.
0:15:57 > 0:16:00- So she'll be OK for two hours now? - Can she go to play?
0:16:01 > 0:16:03- Yes, just not too much - running around!
0:16:03 > 0:16:08- It's hard to tell a six-year-old - girl not to run around!
0:16:08 > 0:16:10- In a brand-new play area.
0:16:12 > 0:16:15- Sophie, the girl with a hear murmur, - is going home.
0:16:17 > 0:16:18- No, that's fine.
0:16:18 > 0:16:22- Any problems in the meantime, - you know where we are.
0:16:22 > 0:16:25- One of the seniors - listened to Sophie's heart...
0:16:25 > 0:16:28- ..and he agreed - there is a heart murmur.
0:16:28 > 0:16:32- He was happy we'd done the ECG - and everything was OK.
0:16:32 > 0:16:35- She's fine in herself. - We don't need to keep her in.
0:16:35 > 0:16:38- But we're going to arrange - an echocardiogram.
0:16:38 > 0:16:40- It's like an ultrasound - on the heart.
0:16:41 > 0:16:43- Similar to an ultrasound scan - on pregnant women.
0:16:44 > 0:16:48- We just want to see if there are - any abnormalities or problems...
0:16:48 > 0:16:50- ..causing the murmur.
0:16:50 > 0:16:52- We probably won't find anything...
0:16:52 > 0:16:55- ..but we'll investigate - because we've discovered it.
0:16:55 > 0:16:59- That will take place - as an outpatient appointment.
0:16:59 > 0:17:02- Hopefully she'll be fine - in the meantime...
0:17:02 > 0:17:06- ..and that the echocardiogram - doesn't highlight any problems.
0:17:06 > 0:17:09- She's going home in a minute. - Just keeping you updated.
0:17:10 > 0:17:12- See you later.
0:17:18 > 0:17:19- Is Leia out there?
0:17:19 > 0:17:20- Is Leia out there?- - Erm...
0:17:23 > 0:17:24- Yes.
0:17:26 > 0:17:29- Leia came in because - she couldn't catch her breath.
0:17:29 > 0:17:33- It sounds like she's had a virus - which has caused her to be wheezy.
0:17:33 > 0:17:36- As you can see, - she's feeling a bit better now.
0:17:36 > 0:17:38- She's on an inhaler - every two hours...
0:17:39 > 0:17:42- ..and I'm checking - she doesn't need anything extra.
0:17:42 > 0:17:45- You could think it's asthma - but it's hard to tell with children.
0:17:46 > 0:17:47- You don't want to put a label on it.
0:17:48 > 0:17:50- Asthma can come and go.
0:17:50 > 0:17:53- With a virus, it happens - and then it gets better.
0:17:54 > 0:17:56- I'll go and see how she is.
0:17:57 > 0:17:59- Hiya, Leia. Are you OK?
0:18:00 > 0:18:02- Can I have a listen to your chest?
0:18:03 > 0:18:04- Do you like the bike?
0:18:05 > 0:18:07- Do you? OK. Let's have a listen.
0:18:08 > 0:18:10- Did you have the mask earlier?
0:18:11 > 0:18:13- Let's listen.
0:18:18 > 0:18:20- Do you like going on the bike?
0:18:24 > 0:18:27- OK. If you turn around, - I'll listen to your back.
0:18:28 > 0:18:30- Thank you, Leia.
0:18:36 > 0:18:38- Thank you very much. - You can carry on playing.
0:18:41 > 0:18:44- Well done. See you later.
0:18:44 > 0:18:46- Her chest doesn't sound too bad.
0:18:47 > 0:18:49- Someone else will listen - in about an hour...
0:18:50 > 0:18:52- ..just to check - if she needs something.
0:18:52 > 0:18:54- If not, - we'll stretch to another hour.
0:18:54 > 0:18:58- We like to stretch them four hours - between inhalers...
0:18:58 > 0:19:00- ..before they go home.
0:19:00 > 0:19:02- That will be for the night shift - to decide.
0:19:02 > 0:19:06- If she needs it more regularly - or if the oxygen levels rise...
0:19:07 > 0:19:08- ..she might have to stay in.
0:19:08 > 0:19:13- I won't know that until tomorrow! - Hopefully she'll get to go home.
0:19:13 > 0:19:15- We'll see.
0:19:19 > 0:19:22- Someone else - who hopes to go home is Liam.
0:19:25 > 0:19:26- Hiya, are you OK?
0:19:27 > 0:19:30- So it's worked, has it? - Has the pain gone?
0:19:30 > 0:19:31- Great.
0:19:31 > 0:19:34- We'll carry on with those sachets - once you go home...
0:19:35 > 0:19:36- ..to keep you regular.
0:19:36 > 0:19:40- I'm glad to see you're much better. - Has the pain gone completely?
0:19:40 > 0:19:41- Yes.
0:19:41 > 0:19:42- Yes.- - Success!
0:19:42 > 0:19:44- Patient of the day. Well done you.
0:19:45 > 0:19:46- Happy?
0:19:46 > 0:19:48- Nice to meet you both. Take care.
0:19:53 > 0:19:56- I've just had a call from the GP - in Llanfair.
0:19:56 > 0:20:00- A 30-week-old baby's not well.
0:20:00 > 0:20:02- She may have a chest infection...
0:20:03 > 0:20:07- ..but he's more concerned that - she's not keeping down any fluids.
0:20:07 > 0:20:10- They're giving her water - and paracetamol...
0:20:10 > 0:20:12- ..and it's coming straight back up.
0:20:12 > 0:20:15- We'll wait for her to arrive - and then I'll assess her.
0:20:15 > 0:20:18- I'm just going to do - some paperwork now.
0:20:19 > 0:20:23- Tomos' day is over. - No-one was terribly ill.
0:20:23 > 0:20:27- But plenty of variety and experience - for the aspiring GP.
0:20:28 > 0:20:32- It's handover time at the minute. - I'll pass on the message. Nice one.
0:20:32 > 0:20:34- ..doing something.
0:20:34 > 0:20:37- I enjoy the work - and that's the most important thing.
0:20:38 > 0:20:42- I wasn't very sure what to expect - when I was 15 or 16...
0:20:42 > 0:20:45- ..and deciding to do medicine.
0:20:45 > 0:20:48- The variety is amazing.
0:20:48 > 0:20:52- There's a job for everyone, - no matter what their interests.
0:20:52 > 0:20:54- I'd encourage young people - to go for it.
0:20:54 > 0:20:58- If you're interested and think - it's something you'd like to do...
0:20:58 > 0:21:00- ..go for it.
0:21:00 > 0:21:04- Ellie's come in from the GP with - what sounded like a chest infection.
0:21:04 > 0:21:07- The GP was more concerned - about the fact...
0:21:07 > 0:21:10- ..she wasn't tolerating oral fluids - for 24 hours.
0:21:11 > 0:21:15- We may need to have a look and see - whether she needs IV fluids...
0:21:15 > 0:21:20- ..if she's not drinking at all - and what are they planning to do.
0:21:21 > 0:21:24- That's it. The handover's done - and my day is over.
0:21:24 > 0:21:26- My colleague, Owen Wilson, - will carry on.
0:21:26 > 0:21:31- He'll see the patients who've been - referred that I didn't reach.
0:21:31 > 0:21:35- It's been quite busy. A few - admissions. Some bloods to do.
0:21:35 > 0:21:39- It's another Monday. - We'll have more fun tomorrow.
0:21:39 > 0:21:41- I'm going home now. - I'll see you tomorrow.
0:21:42 > 0:21:43- OK? Ta-ra.
0:21:50 > 0:21:53- But one little girl is still here.
0:21:57 > 0:22:01- She's much better. What we'll do - is give the inhaler this time.
0:22:01 > 0:22:06- I can only predict but I think - she'll be able to sustain...
0:22:06 > 0:22:09- ..four-hourly without inhalers.
0:22:10 > 0:22:12- Then we'll be able to send you home.
0:22:13 > 0:22:14- Much improved.
0:22:14 > 0:22:16- Much improved.- - Much improved.
0:22:19 > 0:22:22- We have to do the pump again.
0:22:22 > 0:22:24- Once more.
0:22:24 > 0:22:27- Leia wasn't seriously ill...
0:22:27 > 0:22:30- ..but she was poorly enough - to stay in hospital.
0:22:31 > 0:22:35- All I did was prescribe some - inhalers and sort out some steroids.
0:22:36 > 0:22:41- I hope to see her again when she's - running around and completely well.
0:22:44 > 0:22:48- Stephen's rash disappeared a few - days after coming to hospital.
0:22:48 > 0:22:52- The specialist decided Sophie - had no serious heart problems.
0:22:53 > 0:22:56- Liam hasn't had any stomach problems - for months.
0:22:57 > 0:23:01- Leia now has an asthma pump - to use when needed.
0:23:02 > 0:23:06- Dr Tomos is currently in Holyhead - training to be a GP.
0:23:32 > 0:23:34- S4C Subtitles by Testun Cyf.
0:23:34 > 0:23:34- .